Extraction with an electric motor-driven handpiece may still cause subcutaneous emphysema - A case report

This article reported a case of SE around the paraorbital and submandibular regions through extractions of teeth 28 and 38. This 20-year-old man came to the emergency room at night with the major complaint of pain and discomfort during swallowing. Sudden swelling at his left face during extractions of teeth 28 and 38 three hours ago was mentioned. The original surgeon who performed the odontectomy was aware of the SE after removing the surgical drape and specific post-operation instructions were given as follows: immediate hospital care may be needed if the patient encountered difficulties in swallowing or any worsen complications or discomfort. The surgeon was uncertain whether using the electric motor-driven handpiece during tooth extraction was the main cause of SE. Lacking the ability to differentiate between difficulties in swallowing or post-operation discomfort, the patient decided to visit our hospital for further help. Physical examination revealed that everything was within normal range, except the swelling at the left paraorbital and submandibular regions with typical crepitus on palpation and minor discomfort. Thus, the SE during and after teeth extraction was diagnosed (Fig. 1A). Both the left upper and lower extraction wounds were primarily closed with sutures, no sign of inflammation or swelling was noted at either the tonsil or lingual area, and hemostasis was obtained. Panoramic radiograph showed no obvious jawbone lesion (Fig. 1B). The patient was ...
Source: Dental Technology Blog - Category: Dentistry Source Type: news